Job responsibilities
JOB SUMMARYThe post holder will be an
experienced autonomous clinician who acting within their professional boundaries
will provide care for the patient from initial history taking, clinical
assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical
decision-making and expert care for patients within the general practice. Works
collaboratively as part of multi-disciplinary team to meet the needs of
patients, supporting the delivery of policy and procedures, and providing
leadership as required. In order to work
at this Advanced level, the ACP must meet relevant requirements for advanced
Practice following multi-professional framework for Advanced (Framework for
Advance practice in England, HEE, October 2017).
Main Duties will
involve:Work
autonomously and be accountable for his/her own professional actions. Undertake
clinical decisions at an advanced level using expert knowledge and clinical
skills to deliver holistic care to people accessing primary care service. Assess
undifferentiated patients with a range of acute, non-urgent and chronic medical
decisions. Obtain a clinical history, undertake appropriate physical
examinations, and investigations, formulate differential diagnosis and carry
through management treatment plans ensuring relevant follow up. Undertake pre booked emergency clinics, face
to face consultations, home visits, telephone or video
consultation.Working
as part of a larger primary care network to improve patient care and ensure
more efficient ways of working.Promote
a learning environment for patients, nurses and other health professionals.Developing
innovative concepts, models, methods of practice which deliver new and improved
primary care services to meet the changing need of the practice population. e.g remote
prescribing, virtual wards rounds for Care Homes, self-care strategies.
SCOPE AND PURPOSE OF THE ROLE-To
deliver a high standard of patient care as an Advanced
Clinical Practitioner (ACP) in general practice, using advanced clinical
skills, and underpinned by a broad and in-depth theoretical
knowledge base.To
manage a clinical caseload, dealing with presenting patients needs in a primary care setting.To
adhere to existing referral pathways for Clinicians to the local acute NHS
Trust services and to Diagnostic and Treatment Centres.To
contribute to and have knowledge of public health, epidemiology health
education and promotion. To
aid in research and development of services offered by the practice to ensure
quality care to patients.To
provide clinical leadership and mentorship within the practice as required.Work
as part of a clinical team and the wider primary care network. Support the practice to operate in a cost-effective manner.
PRIMARY DUTIES & AREAS OF
RESPONSIBILITY
A. ADVANCED CLINICAL ROLE: Maintain their professional
registration. Work within the most up to date relevant professional standards set by
individual profession governing body. Record
accurate consultation data in patients records in the clinical systems (eg:
EMIS) in accordance
with the up-to-date professional standards. Make
effective use of the clinical system by ensuring consistent and accurate data
entry and use of read codes. Instigate
necessary invasive and non-invasive diagnostic tests or investigations and
interpret findings/reports to discuss with clinician as appropriate. As
an independent prescriber, the post holder will prescribe safe, effective and
appropriate medication as defined by current legislative framework within scope
of practice. Provide
safe, evidence-based, cost-effective, individualised patient care.Offer
a holistic service to patients and their families, developing where appropriate
an on-going plan of care/support, with an emphasis on prevention and self-care
and support patients with Socio-economic issues.Promote
health and well-being through, health education, screening and therapeutic
communication skills to improve self-care and promote independence for
patients.Participate
in screening patients for disease risk factors and early signs of disease.Refer
patients directly to other services/agencies as appropriate or after discussion
with a GP.Undertake
home visits, (including care homes), telephone/video consultations, telephone
triage and support future developments in order to improve service delivery and
patient experience. Encouraging patients to rely on face-to-face consultations
only where there is clinical need to do so.Triaging
Patients for GP emergency surgery and support the on-call GP as appropriate. Working
with allied health professional to ensure Quality and Outcome Frameworks are
delivered.Under
complex decision making which involves sensitive or contentious information and
occasionally deal with situations which are hostile or emotive. Exercise
professional judgment to manage risk appropriately especially where there maybe
complex and unpredictable events and supporting teams to do likewise to ensure
safety of the individuals families and carers.Use
enhanced communication, negotiation, and conflict management skills and
demonstrate empathy, reassurance and adopt persuasive skills to overcome barriers to acceptance.Work
with multi-disciplinary team within the Practice, and across the wider primary
care network to promote integrated and seamless pathways of care.Monitor
the effectiveness of their own clinical practice through the quality assurance
strategies such as the use of audit and peer review.Ensure
ethical practice underpins clinical practice including supporting principles of
equality and diversity
B. FACILITATION OF EDUCATION AND LEARNINGDuring
initial period in the role additional support will be available.Participate
in additional learning and courses as required according to scope of practice,
including all mandatory training.Participation
in practice education and events, For example: case review, clinical
discussion, support from colleagues, awareness of practice.To
develop a portfolio of CPD relevant to their professional standards and scope
of practice.Contribute
to the planning and implementation of the teaching for existing staff, such as
medical students, NP students, GP registrars, Health Care Assistants, within
the Practice.Act
as a mentor for the student clinicians
within the practice including nurses, registrars,
assistant practitioner and associate practitioners, as
well as supporting the personal
and professionaldevelopment of advanced clinical practitioners
C. LEADERSHIP- Develop
a leadership role within the practice.Participate
in clinical and practice meeting.Promote
effective communication and relationships within the team.Encourage
clinical supervision with peers and facilitate clinical supervision for own
development.Build
and communicate effective working relationships with a array of statutory and
voluntary organisations for the benefit of patient care and facilitate good
working relationships.Develop
and deliver presentations to colleagues.Work
collaboratively with colleagues within and external to the practice as part of
primary care network.Act
as an advisor to other members of the
Primary Healthcare team where appropriate.Encourage
and develop teamwork within the practice.Identify
appropriate opportunities to delegate both clinical and administrative tasks as
appropriate.Ensure
that all Practice Policies are fully implemented and alert other
team members to issues of quality and risk.
D. EVIDENCE RESEARCH AND DEVELOPMENT-Promote
evidence-based practice through the use of the latest research-based guidelines
and the development of practice-based research.Participate
in continuing professional development opportunities to ensure that up-to-date
evidence-based knowledge and competence in all aspects of the role is
maintained and cascade this information
within the practice team to consider the impact and strategies for
implementation.Participate
in audit and review of resource use personally and across the practice.Help
develop and set up new patient services and participate in initiatives to
improve existing patient services.Facilitate
the use of up to date information technology in order to collate accurate and
timely information as and when required by the practice.Contribute
to the practice achieving its QOF targets to sustain the high standards of
patient care and service delivery.Identify
and manage clinical risks on a continuing basis.Participate
in practice clinical meetings and reporting progress as required.Participate
in audits and inspections as appropriate.Work
closely with the doctors and administrative managers in the setting up and/or
improving of practice systems for monitoring/measuring performance against
Clinical Governance and Quality Indicator targets.
AREAS OF PRACTICE EXCLUDED FROM THE POST-HOLDERS REMIT-The post-holder will operate within their own scope of practice, agreed
with clinical mentor. The post holder can triage children (Under 16) but will not
independently manage or treat their conditions until fully trained and
qualified to do so.
HEALTH AND SAFETY/RISK MANAGEMENT-The post-holder must comply at all
times with the Practices Health and Safety policies, in particular by
following agreed safe working procedures and reporting incidents using the
organisations Incident Reporting System.The post-holder will comply with the
Data Protection Act (1984) and the Access to Health Records Act (1990).
EQUALITY AND DIVERSITY -The post-holder must co-operate with
all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be
treated equally irrespective of gender, ethnic origin, age, disability, sexual
orientation, religion etc.
SPECIAL
WORKING CONDITIONS-The
post-holder is required to travel independently between practice sites
Grosvenor and Gresty Brook Surgeries.